Sports Health-A Multidisciplinary Approach最新文献

{"title":"Rethinking Lower Extremity Limb Dominance: A Comparison of Performance-Based and Self-Selected Measures.","authors":"Anne Leung, Julie Dyke, Ryan Zarzycki, J Todd Lawrence, Theodore Ganley, Elliot Greenberg","doi":"10.1177/19417381251343085","DOIUrl":"10.1177/19417381251343085","url":null,"abstract":"<p><strong>Background: </strong>Limb dominance implies preferential or asymmetrical performance between limbs. There is currently no consensus regarding limb dominance definition for the lower extremity. Previous work described several methods of subjective reporting for lower extremity limb dominance; however, the correlation between objective performance and subjective perception of limb dominance is poorly understood, particularly among adolescent athletes. The purpose of this study was to test the agreement between objective performance and self-selected limb dominance in 3 different single-leg hopping tasks.</p><p><strong>Hypothesis: </strong>There will be a positive association between self-selected limb dominance and objective performance.</p><p><strong>Study design: </strong>Cross-sectional cohort study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>Self-selected limb dominance was determined by asking, \"Which leg would you use to kick a ball as far as you could?\" Participants performed a series of single-leg hops, and 3-trial means of the single hop (SH), timed hop (TH), and vertical hop (VH) were used for analysis. Paired samples <i>t</i> test or Wilcoxon-signed rank test identified differences in limb performance for each hop test. Chi-square analysis evaluated associations between self-selected limb dominance and objective performance.</p><p><strong>Results: </strong>A total of 352 healthy youth athletes (55% male; mean age, 11.1 ± 1.7 years) participated. There was a small statistically significant difference between limbs on all hop tests. Chi-square analysis revealed no associations (<i>P</i> > 0.05) between self-selected limb dominance and objective performance across all hop test constructs.</p><p><strong>Conclusion: </strong>A single limb performed better on all hop tests by a small and not clinically relevant difference. Perceived limb dominance did not predict performance regardless of hopping task.</p><p><strong>Clinical relevance: </strong>Symmetrical performance on the SH, TH, and VH is normal in uninjured athletes. When returning injured athletes to sport, clinicians should aim for restoring hop test symmetry regardless of whether the injured limb is the perceived dominant limb.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"553-558"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Athletes Who Test Positive on Multiple Domains of the Vestibular-Ocular Motor Screen Take Longer to Return to Play.","authors":"Bobby Jean Lee, J Craig Garrison, Shiho Goto, Joseph Hannon, Kalyssa Creed, Damond Blueitt, Caitlin Nadolny","doi":"10.1177/19417381251359954","DOIUrl":"10.1177/19417381251359954","url":null,"abstract":"<p><strong>Background: </strong>The Vestibular-Ocular Motor Screen (VOMS) is a validated tool that is used to assess symptom provocation with vestibular and ocular testing following sport-related concussion (SRC). It is unknown if the involvement of multiple domains on the VOMS effects time to return to play (RTP) following SRC.</p><p><strong>Hypothesis: </strong>Athletes who tested positive on >3 domains of the VOMS would take longer to RTP than athletes who tested positive on ≤3 domains of the VOMS.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 928 athletes were enrolled from a concussion clinic. The median VOMS score was used to divide these athletes into 2 groups, those who tested positive on ≤3 domains (LOW) and those who tested positive on >3 domains (HIGH). Independent <i>t</i>-tests were used to assess for differences in time to RTP between groups. A simple linear regression was carried out to assess the influence of positive testing on the VOMS domains at the time of first evaluation on time to RTP.</p><p><strong>Results: </strong>Independent <i>t</i>-tests demonstrated a significant difference in time to RTP between the LOW and HIGH groups, with the LOW group returning to play an average of 12.81 days sooner than the HIGH group. The simple linear regression showed that approximately 10.8% of the time to RTP after SRC could be explained by the number of domains that test positive at initial evaluation.</p><p><strong>Conclusion: </strong>Athletes who test positive on >3 domains of the VOMS take longer to RTP than athletes who test positive on ≤3 domains of the VOMS at the time of initial evaluation.</p><p><strong>Clinical relevance: </strong>The VOMS may be utilized to help determine which athletes may take longer to RTP based on the number of domains that are affected after SRC.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"697-701"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development, Validity and Reliability of the Avoidance of Sports Activities Photo Scale (ASAP-Shoulder-Scale) in Athletes With Shoulder Pain.","authors":"Elif Turgut, Birgul Dingirdan, Busra Pakoz, Kubra Caylan Gurses, Pinar Kuyulu Haksal, Anamaria Siriani de Oliveira","doi":"10.1177/19417381251359957","DOIUrl":"10.1177/19417381251359957","url":null,"abstract":"<p><strong>Background: </strong>Fear-avoidance beliefs and kinesiophobia can contribute to shoulder pain-related avoidance behavior. In athletes, symptoms may only become apparent during training and competition. To identify shoulder pain-related avoidance behaviors, a standardized screening tool is needed.</p><p><strong>Hypothesis: </strong>Avoidance of Sports Activities Photo Scale (ASAP-Shoulder-Scale) will demonstrate strong psychometric properties.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 162 athletes with shoulder pain were recruited for this study. The ASAP-Shoulder-Scale was developed through an item bank compiled from the International Classification of Functioning, Disability and Health (ICF), with consensus reached by an expert panel. Intraclass correlation coefficients (ICC) were calculated to assess test-retest reliability, along with the standard error of measurement (SEM) and minimal detectable change (MDC). For validation purposes, the Avoidance Daily Activities Photo Scale (ADAP), Shoulder Pain and Disability Index (SPADI), Kerlan-Jobe Orthopaedic-Clinic Shoulder-Elbow Score (KJOC), Tampa Scale for Kinesiophobia (TSK), Pain-Catastrophizing Scale (PCS), and Fear-Avoidance Beliefs Questionnaire (FABQ) were used.</p><p><strong>Results: </strong>A total of 102 preselected activities were evaluated. The scale consisted of 8 activities, with 16 photographic representations that attained 80.0% agreement by the expert panel and demonstrated excellent reliability (ICC, 0.88) with a Cronbach's alpha value of 0.95, a SEM of 20.1 points, and a MDC of 55.8 points. The ASAP-Shoulder-Scale showed significant correlations with ADAP, SPADI, TSK, PCD, and FABQ scores, with correlation coefficients ranging between 0.183 and 0.750 (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The ASAP-Shoulder-Scale is a reliable and valid instrument for assessing avoidance behavior in athletes with shoulder pain.</p><p><strong>Clinical relevance: </strong>ASAP-Shoulder-Scale is a novel score to feasibly guide clinicians to monitor avoidance behavior during sports activities. A difference of more than 55.8 points can be accepted as a clinically relevant improvement.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"629-636"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Which Criteria Are Used to Clear Athletes to Return to Sport After Achilles Tendon Repair? A Scoping Review.","authors":"Mattia Fernando Busà, Matteo Zago, Matthew Buckthorpe, Fabio Esposito, Francesco Della Villa","doi":"10.1177/19417381251412905","DOIUrl":"10.1177/19417381251412905","url":null,"abstract":"<p><strong>Context: </strong>Achilles tendon (AT) rupture is a devastating and potentially career-ending injury. Compared with other severe lower extremity injuries, such as anterior cruciate ligament reconstruction, it is associated with lower return to sport (RTS) rates, longer absence from training and competition, reduced sport-specific performance in the 2 years after rupture, shorter career length, and persistent long-term functional deficits. Therefore, better knowledge of the RTS criteria after AT rupture may support the optimization of rehabilitation outcomes and improve long-term RTS success.</p><p><strong>Objective: </strong>The purposes of this scoping review were to (1) map the scientific evidence regarding criteria used to clear patients to RTS after surgical AT repair, and (2) describe the predominant outcome measurements reported in the literature.</p><p><strong>Data sources: </strong>Web of Science, Scopus, and MEDLINE databases.</p><p><strong>Study selection: </strong>A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews framework, including English-language studies published from 1995 to 2022 on \"athletes\" or \"sportive patients\" who underwent surgical AT repair.</p><p><strong>Study design: </strong>Scoping review.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Results: </strong>Of 589 studies identified, 34 met the inclusion criteria: 3% were randomized controlled trials, 50% were case series, and 47% were cohort studies. None defined an outcome measurement as a criterion to RTS. The main outcomes were timeframe from surgery to RTS (53%), ankle range of motion (47%), Achilles Tendon Rupture Score (47%), calf circumference (44%), and heel-rise test (44%).</p><p><strong>Conclusion: </strong>None of the 34 studies defined an outcome measurements as criteria for RTS. The main measurements focused on the early rehabilitation stage, with limited standardization and a lack of assessment for the mid- and late stages of rehabilitation. Defining RTS criteria after AT repair may help optimize rehabilitation and the RTS process.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"666-684"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12916344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic Optimization Before Orthobiologic Therapies (MOBOT): A Narrative Review.","authors":"Guilherme C A M Fernandes, Scott A Rodeo","doi":"10.1177/19417381251409133","DOIUrl":"10.1177/19417381251409133","url":null,"abstract":"<p><strong>Context: </strong>The efficacy of orthobiologic therapies, such as platelet-rich plasma (PRP) and concentrated bone marrow aspirate (cBMA), is influenced by not only the biologic product but also the patient's systemic biological milieu. Emerging preclinical and clinical evidence suggests that modifiable metabolic factors, including obesity, insulin resistance, chronic low-grade inflammation, inflammaging, sarcopenia, dysbiosis, poor sleep, and lifestyle behaviors such as smoking and alcohol use, can impair tissue regeneration and reduce the effectiveness of orthobiologics.</p><p><strong>Evidence acquisition: </strong>A structured approach guided article selection. Searches in PubMed, Embase, and Scopus through July 2025 were supplemented by reference checking. Terms included \"metabolic optimization,\" \"obesity,\" \"insulin resistance,\" \"inflammation,\" \"sarcopenia,\" \"dysbiosis,\" \"sleep,\" \"orthobiologics,\" \"PRP,\" and \"bone marrow aspirate.\" Preclinical and clinical studies, mechanistic reviews, and meta-analyses assessing the impact of metabolic factors on musculoskeletal regeneration and orthobiologic outcomes were included. Only English-language articles relevant to mechanisms, clinical implications, or patient optimization were considered.</p><p><strong>Study design: </strong>Narrative review.</p><p><strong>Level of evidence: </strong>Level 5.</p><p><strong>Results: </strong>Evidence-based strategies to optimize metabolic health include targeted exercise, nutritional optimization, pharmacologic interventions, sleep regulation, microbiome support, and behavioral counseling for tobacco and alcohol cessation. While clinical evidence remains limited and of low methodological rigor, preclinical and available clinical studies support the plausibility, safety, and potential efficacy of these interventions. Optimizing metabolic factors can enhance tissue responsiveness, reduce interpatient variability, and improve orthobiologic therapy outcomes.</p><p><strong>Conclusion: </strong>Optimizing metabolic health before orthobiologic therapy improves the biological environment and regenerative outcomes. Screening and managing factors such as insulin resistance, chronic inflammation, and poor sleep are essential. Further randomized controlled trials and biomarker-guided studies are needed to validate strategies and personalize interventions.Strength-of-Recommendation Taxonomy (SORT):C: Supported mostly by preclinical and indirect clinical evidence.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"534-542"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Exertional Sweat Loss Estimates in Wearable Technology.","authors":"Bryson Carrier, Amanda C Melvin, Jacob R Outwin, Marni G Wasserman, Adam P Audet, Katherine C Soldes, Kenneth M Kozloff, Adam S Lepley","doi":"10.1177/19417381251388642","DOIUrl":"10.1177/19417381251388642","url":null,"abstract":"<p><strong>Background: </strong>Wearable technology shows promise for monitoring exertional sweat loss, yet its accuracy requires evaluation. This study evaluated the accuracy of 2 commercially available smartwatches for estimating sweat loss compared with gold standard methods.</p><p><strong>Hypothesis: </strong>Sweat loss values measured via wearable technology will be determined accurate compared with gold standard methods.</p><p><strong>Study design: </strong>Cross-sectional.</p><p><strong>Level of evidence: </strong>Level 2.</p><p><strong>Methods: </strong>A total of 111 participants (age, 40 ± 14 years; height, 171.0 ± 8.9 cm; body mass, 70.8 ± 14.7 kg; VO₂max, 46.8 ± 8.7 ml/kg/min) completed up to 4 running trials under varying conditions (indoor/outdoor, distances from 2.5 km to 20 km, and interval runs). Sweat loss estimates from each smartwatch were compared with criterion measurements based on change in nude body mass pre- and postexercise. Validity statistics included tests for error (mean absolute error [MAE], mean absolute percentage error [MAPE]), linearity (Lin's concordance correlation coefficient [CCC], Pearson's [<i>r</i>], and Deming regression), equivalence (CI for difference in means), and Bland-Altman plots for bias assessment. Stratified analyses by sex, weight, and fitness category were also completed, along with a chi-square test of independence.</p><p><strong>Results: </strong>Both devices demonstrated acceptable overall correlation (CCC range, 0.71 to 0.90) but substantial errors in estimating exertional sweat loss (MAPE range, 25.38% to 33.21%). Stratified analyses yielded similar results, with no additional analyses meeting the combined validity thresholds.</p><p><strong>Conclusion: </strong>Wearable devices offer a promising and convenient tool for general sweat loss tracking but lack the precision to replace laboratory methods for hydration management. Traditional methods remain essential for the most accurate measurements.</p><p><strong>Clinical relevance: </strong>Wearable devices provide an accessible option for sweat loss monitoring. This study highlights their potential for general tracking while emphasizing the need for laboratory methods when accuracy is critical, ensuring better guidance for hydration strategies in sports performance and health applications.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"507-520"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12668989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review of the Star Excursion Balance Test to Define Clinically Meaningful Psychometric Values.","authors":"Yongni Zhang, Song Pei, RobRoy L Martin","doi":"10.1177/19417381251392609","DOIUrl":"10.1177/19417381251392609","url":null,"abstract":"<p><strong>Context: </strong>The Star Excursion Balance Test (SEBT) is recognized for simultaneously assessing strength, range of motion (ROM), balance, neuromuscular control, and functional performance of the lower extremity. Although there is evidence to support the SEBT, a contemporary systematic review to define its clinically relevant psychometric properties is needed.</p><p><strong>Objective: </strong>To define clinically relevant psychometric values for the SEBT.</p><p><strong>Data sources: </strong>PubMed, Embase, Medline, CINAHL, SPORTDiscus, and Scopus databases were searched from database inception through November 2023.</p><p><strong>Study selection: </strong>Clinical studies reporting reliability, validity, and responsiveness of SEBT were included.</p><p><strong>Study design: </strong>Systematic review.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Data extraction: </strong>Intra-class correlation coefficient (ICC), minimal detectable difference (MDD), minimal detectable change (MDC), evidence of validity, and minimal clinically important difference (MCID) values were recorded.</p><p><strong>Results: </strong>Out of 3982 identified studies, a total of 102 were included; 20 studies of reliability found the SEBT to have ICC values ranging from 0.51 to 0.99. Out of these 20 studies, 5 reported MDC or MDD values in an injured population. Based on these studies, a standardized protocol for SEBT was compiled. A total of 81 studies of validity found that the SEBT could differentiate reaching distances between healthy people and those with lower extremity injuries with correlations with patient-report outcome measure, functional performance test, muscle strength, muscle activation, ROM, and motor strategies. One study of responsiveness identified MCID values of 4.2 cm to 10.9 cm for SEBT in the 2 weeks after anterior cruciate ligament reconstruction.</p><p><strong>Conclusion: </strong>The reliability, validity, and responsiveness with MDD, MDC, and MCID values for the SEBT can be used in clinical practice.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"657-665"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12669005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the Existing Return-to-Sport Criteria After Pectoralis Major Tendon Injury in Different Sports: A Scoping Review for Getting Back to the Game.","authors":"Shivam Sharma, Rod Whiteley, Babina Rani, Steve Sartori, Happy Sharma, Tim J Gabbett","doi":"10.1177/19417381251408058","DOIUrl":"10.1177/19417381251408058","url":null,"abstract":"<p><strong>Context: </strong>It is estimated that only 50% of athletes who sustain pectoralis major tendon injuries return to sport (RTS) despite successful treatment. This limited RTS rate may be due to absence of standardized RTS criteria for such patients. Evidence suggests a significant heterogeneity in RTS guidance across various studies, leading to inconsistency in clinical advice.</p><p><strong>Objective: </strong>To examine the existing RTS criteria used in pectoralis major tendon injury in different sporting populations.</p><p><strong>Data sources: </strong>A comprehensive literature search with defined keywords was conducted in electronic databases including PubMed, Scopus, EBSCO (via CINAHL complete), Web of Science, Embase, and grey literature (e.g., Opengrey.com) to include studies published from inception until May 2024.</p><p><strong>Study selection: </strong>Studies investigating the RTS outcome after pectoralis major injury managed surgically and/or conservatively in various sporting athletes were included. All studies included were in English language.</p><p><strong>Study design: </strong>Scoping review.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Data extraction: </strong>Details of population age, sex, type of sports, injury mechanism (contact/noncontact), management technique, rehabilitation protocol, outcomes assessed, RTS criteria used, mean RTS duration, number of athletes returned to play, athletes reaching preinjury performance level, and re-injury rate were extracted.</p><p><strong>Results: </strong>The literature search identified 1707 studies; 39 studies were included for the final review. A total of 1129 injured athletes (1 female were recorded from the included studies with a mean age of 30.1 years. Regarding RTS criteria, no established criterion for this injury exists in the literature. Strength assessment, range of motion, functional outcomes, and pain were the measures used most in clearing the athlete to continue sport.</p><p><strong>Conclusion: </strong>Despite the increasing number of athletes sustaining this injury, current evidence reports marked variability in RTS recommendations, with no universally accepted or validated criteria identified. Therefore, for now, both objective and subjective parameters should be used to aid RTS decision making.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"685-696"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic Value of Conventional Ultrasound and MRI Features for Clinical Outcomes in Athletes With Patellar Tendinopathy After Exercise Therapy.","authors":"Jie Deng, Stephan J Breda, Yijie Fang, Denise Eygendaal, Robert-Jan de Vos, Edwin H G Oei","doi":"10.1177/19417381251401164","DOIUrl":"10.1177/19417381251401164","url":null,"abstract":"<p><strong>Background: </strong>Structural abnormalities assessed with conventional ultrasound (US) or magnetic resonance imaging (MRI) are associated with the risk of developing patellar tendinopathy (PT). However, their prognostic value for athletes with PT performing exercise therapy remains unclear.</p><p><strong>Hypothesis: </strong>Baseline imaging features could be associated with changes in pain and disability over 24 weeks in athletes with PT after exercise treatment.</p><p><strong>Study design: </strong>Cohort study.</p><p><strong>Level of evidence: </strong>Level II.</p><p><strong>Methods: </strong>Athletes with PT were randomly allocated to 2 different programs of exercise therapy for 24 weeks. Imaging features at baseline included patellar tendon thickness, intratendinous calcifications, patellar erosions, and Doppler flow on US, as well as tendon fiber disruption, infrapatellar fat pad (IFP) edema, bone marrow edema, and deep infrapatellar bursitis on MRI scan. Clinical outcomes were measured at baseline, and at 12- and 24-week follow-up, using the visual analog scale after single-leg squat (VAS-SLDS) for pain on loading, and Victorian Institute of Sports Assessment-Patella (VISA-P) questionnaire for disability. Linear mixed-effects models, incorporating interaction terms tested using likelihood ratio tests, evaluated the prognostic value of baseline imaging features.</p><p><strong>Results: </strong>Of 76 included athletes (58 male, 18 female; average age, 24 ± 4 years), abnormal US features were identified in 26% to 78% of cases. Among 72 MRI scans analyzed, abnormal features were demonstrated in 43% to 81% of cases. No significant associations were identified between individual imaging features and 24-week changes in VAS-SLDS or VISA-P scores (all <i>P</i>_interaction > 0.10), or between the total number of imaging abnormalities and clinical outcomes (all <i>P</i>_interaction > 0.50).</p><p><strong>Conclusion: </strong>There was no evidence of an association between baseline abnormalities assessed using conventional US or MRI and 24-week changes in pain or disability among athletes with PT undergoing exercise therapy.</p><p><strong>Clinical relevance: </strong>Healthcare professionals should avoid relying on conventional imaging findings to predict prognosis.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"597-607"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12846899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Steady or Swaying? Assessing the Reliability of the HUMAC Balance System in Athletes With Chronic Low Back Pain.","authors":"Sumbul Ansari, Saurabh Sharma","doi":"10.1177/19417381251334638","DOIUrl":"10.1177/19417381251334638","url":null,"abstract":"<p><strong>Background: </strong>Balance is a fundamental component of athletic performance. Chronic low back pain (CLBP) is a prevalent issue in athletes, impacting performance. Balance assessment plays a crucial role in CLBP rehabilitation. Reliable techniques are essential for balance assessment. The CSMi HUMAC balance system offers promise in this regard. This study aimed to assess the reliability of the HUMAC balance system and to determine the minimal detectable change (MDC) for center of pressure (CoP) indices (sway index [SI], overall stability index [OSI], mediolateral stability index [MLSI], and anteroposterior stability index [APSI]) during squats and limits of stability (LoS) outcomes.</p><p><strong>Hypothesis: </strong>The HUMAC balance system will demonstrate high test-retest reliability, with intraclass correlation coefficients (ICCs) >0.80, when used to assess balance in athletes with CLBP.</p><p><strong>Study design: </strong>Repeated measures design.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>A total of 15 athletes (aged 18-30 years) with CLBP were included. The athletes underwent assessment of balance parameters on 2 separate occasions separated by a 1-week interval. Reliability was assessed using ICC_2,1, standard error of measurement (SEM), and Bland-Altman plots.</p><p><strong>Results: </strong>Intrarater reliability for all CoP indices during squats and LoS tests showed excellent values (ICC, 0.84-0.98), with no significant systematic bias detected in Bland-Altman plots.</p><p><strong>Conclusion: </strong>The HUMAC balance system is a reliable tool for assessing balance in athletes with CLBP.</p><p><strong>Clinical relevance: </strong>The HUMAC balance system demonstrates reliability in assessing balance for athletes with CLBP. This will allow clinicians to monitor changes in balance and potentially track the effectiveness of interventions aimed at improving balance.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"619-628"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}